welcome to essential skills for pain management
TRANSCRIPT
Welcome to Essential Skills for Pain ManagementPlease Complete Questionnaire
Session 1A New Understanding of Pain
Comprehensive Pain Management Department, North Valley WebEx 2020
Welcome to Week 1
Complete two questionnaires
Self-care during workshops
Group rules
Confidentiality
– Please do not share highly personal information
– Please respect everyone’s privacy
2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
What to Expect
Evidence-based approach to decrease suffering while in pain– 4-weeks Essential Skills for Pain Management workshops
– Weekly Aftercare Groups (Behavioral & Movement)
You have an entire care team to support you!– Pain Psychologist
– Pain Physical Therapist
– Nurse Care Manager
– Resources outside our department
Care Team Role– Offer mind and body skills that are supported by science
Your Role– Weekly home-practice using the SMART plan
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How does pain affect your life?
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Where doespain come from?
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How doesstress influence your pain?
Two Parts of the Pain Experience
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Pain Reaction to Pain Suffering*Thoughts* Emotions* Behavioral* Physical
What is Pain? What is Suffering?
Pain is a physical sensation
Suffering is
– Emotional
– Physical stress
– Negative thought patterns, memories
– Avoiding people or activities
This well-established brain pathway can be re-trained to decrease suffering while in pain and improve quality of life
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Thinking
Sensations
Pain and Emotions
Living with Chronic Pain
Your pain is very real
You can live well and have a meaningful life with pain
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Two Approaches to Pain Management
Standard Approach
Decrease pain to decrease suffering
– Medications
– Medical intervention (ESI etc.)
– Surgery
– Acupuncture
Complimentary Approach
Decrease suffering while in pain
– Evidence-based
– Re-train your brain and body to respond versus react to pain
– Pain may decrease in time
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11 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.April 3, 2020
Mindfulness
— Zeidan, F. (2011)
Research shows mindfulness creates a greater reduction in pain than standard doses of morphine and other pain-relieving drugs.
There was a 40% reduction in pain intensity and its unpleasantness was reduced by 57%. This meant that it could barely be felt and hardly bothered them at all.
What is Mindfulness?
A meditation practice
Paying attention in a particular way
– On purpose
– To the present moment
– Non-judgmentally
Mindfulness & Changing the Brain Video
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How to Practice Mindfulness Meditation
Posture
1. Sit upright in a comfortable position
2. Feet flat on the floor
3. Place hands on thighs or cup in your lap
4. Observe your breath (nose/mouth or belly)
5. Every time your mind wanders away from your breath, say: “Thank you” and
return your attention back to your breath
Web Resource: “UCSD Guided Practice Mindfulness” https://health.ucsd.edu/specialties/mindfulness/programs/mbsr/Pages/audio.aspx
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Information-Motivation-Behavior Change Model
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Information“What”
Motivation“Want”
Behavioral Plan
“How”
Start Your Home Practice
(Fisher & Fisher, 1992)
Your SMART Home Practice
Turn to the SMART worksheet to begin your home-practice
1. Set a goal
– Mindfulness Meditation
– At least 4 days per week
– At least once daily
Plan for success
– Attach a new habit to a habit you already have like brushing your teeth, eating meals or bedtime routines.
2. Monitor your goal
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How would your life improve if you had less pain?
When will you get started on your SMART treatment plan?
What to Expect in a Mindfulness-Based Program
Session 2
– Thoughts Are Powerful
Session 3
– The Importance of Sleep
Session 4
– Managing Flare-Ups
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Thank you!
See you next week
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